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106 Ther Ex > Ther Ex 1 > Flashcards

Ther Ex 1 Flashcards

1
Q

Models of Disablement

A

Pathology/ Health Condition
Impairment
Functional / Activity limitation
Disability / Participation Restriction

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2
Q

Ther Ex

A

systematic, planned performance of bodily, movements, posture or physical activities with intent to achieve a specific goal

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3
Q

Supervision

A

Direct - there and watching

Indirect - in the room or available by phone

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4
Q

Discharge

A

patient met goals

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5
Q

Discontinuation

A

Therapy won’t help or fix issue

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6
Q

Tissues of the body

A

Epithelial
Nervous
Connective
Muscle

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7
Q

Connective Tissue

A 
Loose
Dense regular
Dense Irregular
Elastic
Reticular
Adipose
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8
Q

Irregular vs regular

A 
Irregular = Fascia, needs to be pliable
Regular = trendons/ligamets, specific direction and purpose
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9
Q

Types of cartilage

A

Hyaline
Fibrocartilage
Elastic

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10
Q

Myotendinous Junction

A

MTJ
Where tendon and muscle meet
common area for tears

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11
Q

Bone

A 
highly vascular
collagen
calcium phosphate
water
proteins
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12
Q

Structures affected in ROM

A 
Muscles
Joint surface
Capsule
Ligaments
Fascia
Vessels
Nerves
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13
Q

Factors that affect ROM

A

Joint structure
Age
Gender
Type of Motion (Active and Passive Insufficiency)

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14
Q

Benefits of ROM

A 
Promotes joint integrity
Lessens chance of contracture
Uses elasticity
Synovial fluid movement
Reduce pain
Promote healing
Kinesthetic awareness
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15
Q

Factors that decrease ROM

A

Disease
Surgery
Trauma
Inactivity

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16
Q

Vailidity

A

What it is supposed to measure

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17
Q

Reliability

A

Consistent, repeatable

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18
Q

Contraindications for ROM

A

When healing would be disrupted
When exercise could cause harm, pain or inflammation
Life threatening (clot)

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19
Q

PROM indications

A

Acute inflammation
2-6 days post surgery/trauma
unable or shouldn’t contract muscles

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20
Q

What PROM achieves

A 
Tissue mobility
minimizes contracture
maintains elasticity
helps circulation
synovial movement
reduce pain/stiffness
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21
Q

PROM does NOT achieve

A

prevent atrophy
increase strength and endurance
increase circulation

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22
Q

AROM and AAROM indications

A

Whenever pt can contract
pt is weak but can move
aerobic conditioning

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23
Q

What AROM achieves

A 
Maintains elasticity
provides stimulus
increase circulation
prevents clot
Coordination and motor skills
Initiates strengthening
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24
Q

Normal end feels

A

Soft (soft tissue touches each other, muscle bulk, obese)
Firm (muscular, capsule or ligament stretch)
Hard (Bone contacts bone)

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25
Q

Abnormal end feels

A

Empty (painful)
Boggy (soft, mushy from effusion)
Spasm (early abrupt stop with some rebound)
Bony (osteophyte in the way)

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26
Q

Functional Excursion

A

Amount of distance from lengthened muscle to shortened muscle

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27
Q

Compliance in HEP

A

Educate patients
Point out successes
Perceived barriers
Perceived helplessness

28
Q

Fostering Compliance in HEP

A 
Determine pt values
Help identify benefits
Explain tx
Identify goals, progress and barriers
Allow pt input
Be brief
Be practical
29
Q

Communications skills

A 
Respect personalities, values and cultures
Body language
Appropriate topics
no bias
no politics
30
Q

Discharge

A

Patient met goals

31
Q

Discontinuation

A

Therapy won’t help

32
Q

4 types of tissue

A

Epithelial
Nervous
Connective
Muscular

33
Q

Epithelial tissue

A

Membranous

Glandular

34
Q

Muscle tissue

A

Smooth
Cardiac
Skeletal

35
Q

Connective tissue

A 
Bone
Cartilage
Tendons
Ligaments
Blood
36
Q

Connective tissue cells

A

Macrophages
Mast cells
Fibroblasts

37
Q

Collagen

A

Maintains structural integrity

Provides tensile strength

38
Q

Elastin

A

Stretch and goes back to form

39
Q

Functions of bone

A 
Store minerals
provide support
protect vital strctures
Provide attachment sites
206 bones total
40
Q

Hyaline cartilage

A

Covers ends of long bones
provides articulating surface
most abundant

41
Q

Elastic cartilage

A

Specialized connective tissue

found in outer ear and portions of larynx

42
Q

Fibrocartilage

A

Shock absorber
Symphysis pubis
Discs
Menisci

43
Q

Muscle layers

A 
Tendon
Epimysium (surounds muscle)
Perimysium (surrounds fascicles)
Endomysium (surrounds muscle fibers)
myofilament
44
Q

Cross bridges

A

connect myosin and actin

45
Q

A bands are composed of

A

myosin

46
Q

I bands are composed of

A

Actin

47
Q

Sarcomere

A

distance from Z line to Z line

48
Q

Neuromuscular Junction

A

each muscle fiber is innervated by a somatic motor neuron

49
Q

Motor impulse

A 
MEA
motor
efferent
anterior root
Brain to extemities
50
Q

Sensory impulse

A 
SAP
Sensory
Afferent
Posterior root
Extremities to brain
51
Q

Gross motor

A

Neuron innervates many fibers

52
Q

Fine motor

A

Neuron innervates few fibers

53
Q

Slow Twitch

A 
Type 1
Aerobic
> 1 minute
Trunk
Long term activities
54
Q

Fast Twitch

A 
Type 2
Anerobic
30 sec to 1 min
Extremities
Short bursts of energy
55
Q

Sprain

A

Injured ligament

56
Q

Strain

A

Injured tendon

57
Q

Primary injuries

A

Acute 1-3 days
Sub-acute 4-7 days
Chronic > 1-2 weeks

58
Q

Secondary Injuries

A

inflammatory response that occurs with primary injury

59
Q

Macrotrauma

A

Injury and pain occur simultaneously

60
Q

Microtrauma

A

small injuries over time

61
Q

How to treat acute injuries

A

RICE
Medicate
Manual Therapy, PROM

62
Q

How to treat subacute injuries

A

Increase AROM/AAROm
Stretch
Heat

63
Q

How to treat chronic injuries

A

All of the above

+ Add resistance

64
Q

Wolff’s Law

A

Forces applied to a bone can alter bone internally and externally through adaptation
More load/exercise = bone growth

65
Q

3 phases of wound healing

A

Inflammatory
Proliferative
Remodeling

106 Ther Ex (1 decks)

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